Pharmacist

TechLink+; Philadelphia (Philadelphia County); On-site; USD 70,000 - 110,000; Part time

Job summary

PerformRx seeks a licensed Pharmacist (R) in Philadelphia, PA for a contract role to determine prior authorization requests for pharmaceutical coverage. The pharmacist will work with a team to ensure medical necessity and benefit decisions align with guidelines and regulations, with a rotating weekend schedule if needed.

Responsibilities include clinical support for the Customer Care Center, provider discussions to support determinations, and oversight of Fraud and Abuse programs, while staying

Qualifications

• No experience required, Prior Authorization or Coverage Determination experience preferred.
• Proficient PC skills in a Windows based environment.

Responsibilities

• Provide clinical support to the PerformRx Customer Care Center.
• Engage providers in discussions to support determinations.
• Support Fraud and Abuse program oversight.
• Keep abreast of industry trends and regulatory changes.

Skills

Prior Authorization

Coverage Determination

PC Skills

Windows Environment Proficiency

No experience required

Education

Bachelor's Degree, PharmD preferred

Current Pharmacist license

Tools

Windows

Job description

Job Title: Pharmacist

Location (On-site, Remote, or Hybrid?): Philadelphia, PA (Remote - Candidates must be able to work EST schedule)

Contract Duration: Contract until 12/15/2026

Work Hours: Monday through Friday 10:00 AM to 6:30 PM

Duties:

As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, prior authorization criteria, industry regulations and sound clinical judgment.

Prior Authorization Pharmacist (R) works independently with respect to reviews and decision making, with the support of Pharmacist II (R)s and supervisors. Pharmacist (R) works as a member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. This position includes a rotating weekend schedule if business needs dictate.

Additional responsibilities include:

• Provide clinical support to the PerformRx Customer Care Center
• Engage providers in discussions to support determinations
• Support Fraud and Abuse program oversight
• Keep abreast of industry trends and regulatory changes
• Keep ab
• Keep ab

Skills:

• No experience required, Prior Authorization or Coverage Determination experience preferred
• Proficient PC skills in a Windows based environment

Required

• Windows Environment Proficiency
• Prior Authorization
• Coverage Determination
• PC Skills

Education:

• Bachelor's Degree, PharmD preferred
• Current Pharmacist license